Maternal & Fetal Health

Question 1

Maternal Death

Definition

Answer 1

• The death of a woman while pregnant or w/i 42 days of termination of pregnancy
• Irrespective of the duration & site of pregnancy
• Any cause related to or aggravated by the pregnancy or its management
• Not from accidental or incidental causes

Question 2

**Maternal Mortality Rate **

Definition

Answer 2

• # of maternal deaths per 100,000 women of reproductive age (15-49 yrs) in a given period of time
• MMRate = # of maternal deaths/ # of reproductive age women X 100,000

Question 3

Maternal Mortality Ratio

Definition

Answer 3

• # of maternal deaths per 100,000 live births in a given period of time
• MMR = # of maternal deaths/ # of live births X 100,000

Question 4

Definitions

• IMR
• FMR
• NMR
• PMR

Answer 4

Question 5

What are the leading causes of Maternal Mortality in the world? In the US?

Answer 5

• World
  
  • Hemorrhage
  • Hypertensive disorders
  • Infections/sepsis
  • Large regional differences
• US
  
  • CV diseases
  • Infections/sepsis
  • Non-cardiovascular diseases

Question 6

What are the leading causes of Infant Mortality in the world? In the US?

Answer 6

• World
  
  • Preterm birth
  • Birth asphyxia
  • Infections
• US
  
  • Congenital abnormalities
  • Preterm birth
  • Sudden Infant Death Syndrome (SIDS)

Question 7

How is fuel metabolism altered in pregnancy?

Answer 7

• Hyperinsulinemia
• Insulin resistance
• Hyperlipidemia (fed & fasting)
• Hypertriglyceridemia (fed)
• Hyperketonemia
• Normal pregnancy is a diabetogenic state